Healthcare Provider Details

I. General information

NPI: 1609354307
Provider Name (Legal Business Name): CELESTE CURRY BSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 08/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 CONDERSHIRE DR SW
ALBUQUERQUE NM
87121-5253
US

IV. Provider business mailing address

3701 CONDERSHIRE DR SW
ALBUQUERQUE NM
87121-5253
US

V. Phone/Fax

Practice location:
  • Phone: 505-877-3644
  • Fax: 505-877-3951
Mailing address:
  • Phone: 505-877-3644
  • Fax: 505-877-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberM-10252
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: